Posted:1 week ago| Platform: Shine logo

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Job Type

Full Time

Job Description

Role Overview: As an Authorization Specialist, you will be responsible for reviewing, analyzing, and understanding authorization requests to ensure accuracy and completeness. You will collaborate with internal departments to gather necessary information, verify eligibility and coverage details, and communicate with external stakeholders for necessary approvals. Your role will involve maintaining accurate records, understanding appeal requirements, monitoring industry regulations, providing support to staff, generating reports, and contributing to process improvement. Key Responsibilities: - Review, analyze, and understand authorization requests - Collaborate with internal departments for necessary information - Verify eligibility and coverage details - Communicate with external stakeholders for necessary approvals - Maintain accurate records of authorization requests, approvals, and denials - Understand appeal requirements and ensure timely appeals - Monitor industry regulations and compliance - Provide support and guidance to staff involved in authorization process - Generate reports and analyze data related to authorization activities - Ensure compliance with company policies and industry standards - Contribute to continuous improvement of authorization process Qualifications: - Bachelor's degree in [Relevant Field] or equivalent work experience - 1-3 years of proven experience in authorization or related field - Strong understanding of industry regulations and compliance requirements - Excellent communication and interpersonal skills - Detail-oriented with strong organizational and multitasking abilities - Proficient in using relevant software and tools (Note: Compensation will be as per industry standards. Additional details about the company were not provided in the job description.),

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